PUBLICATIONS

@article{Code2024c,

title = {At the heart of resilience: Empowering women’s agency in navigating cardiovascular disease},

author = {J Code},

doi = {https://doi.org/10.1016/j.cjco.2023.12.013},

year  = {2024},

date = {2024-02-01},

urldate = {2024-02-01},

journal = {CJCOpen},

volume = {6},

issue = {2},

pages = {473-484},

abstract = {Cardiovascular disease (CVD) is the leading cause of death among women globally, emphasizing the need for a healthcare approach that empowers women through agency. This review focuses on the critical role of women’s agency in navigating CVD, integrating insights from various fields, including medicine, education, psychology, and sociology. It highlights the shift towards patient-centred care, where women are recognized as key decision-makers, a crucial change given the historical underemphasis on women’s health issues in medical practice. The diagnosis of CVD in women often involves emotional and psychological challenges. Unexpected diagnoses significantly disrupt perceived well-being, and prolonged diagnostic processes lead to professional skepticism and neglect of symptoms, resulting in delayed or inaccurate diagnoses and strained healthcare relationships. Effective management of CVD necessitates continuous self-management and a holistic approach to care, particularly for those with trauma who are at increased risk of cardiac incidents. Empowerment for women with CVD involves promoting self-confidence, autonomy, and active patient participation in healthcare. Implementing comprehensive care models is crucial for improving chronic CVD management, highlighting the need for healthcare systems that prioritize patient agency and empowerment. From the perspective of a woman with lived experience, this article examines the impact of CVD on women’s agency throughout the diagnostic journey. By highlighting women’s agency rather than particular behavioural changes, this review offers a comprehensive analysis that can shape policy, stimulate new research, and foster a more equitable, efficient, and empathetic healthcare system for women with CVD.},

keywords = {heart disease, heart failure, Heart Transplant, literature review, patient agency, Patient Experience, women's health},

pubstate = {published},

tppubtype = {article}

}

75.

Moylan, R, Code, J

Algorithmic futures: An analysis of teacher professional digital competence frameworks through an algorithm literacy lens Journal Article Forthcoming

In: Teachers and Teaching, pp. 19, Forthcoming.

Abstract | BibTeX | Tags: Algorithm Literacy, document analysis, professional digital competencies, Teacher Education | Links:

74.

Mamataz, T, Lee, D, Turk-Adawi, K, Hajaj, AM, Code, J, Grace, SL

Factors affecting healthcare provider referral to heart function clinics: A mixed-method study Journal Article Forthcoming

In: The Journal of Cardiovascular Nursing, vol. 39, iss. 1, pp. 18-30, Forthcoming.

Abstract | BibTeX | Tags: heart disease, heart failure, Heart Transplant, mixed methods | Links:

@article{Mamataz2024,

title = {Factors affecting healthcare provider referral to heart function clinics: A mixed-method study},

author = {T Mamataz and D Lee and K Turk-Adawi and AM Hajaj and J Code and SL Grace},

doi = {https://doi.org/10.1097/jcn.0000000000001029},

year  = {2024},

date = {2024-01-01},

urldate = {2024-01-01},

journal = {The Journal of Cardiovascular Nursing},

volume = {39},

issue = {1},

pages = {18-30},

abstract = {Background 

Heart failure (HF) care providers are gatekeepers for patients to appropriately access lifesaving HF clinics. 

Objective 

The aim of this study was to investigate referring providers' perceptions regarding referral to HF clinics, including the impact of provider specialty and the coronavirus disease pandemic. 

Methods 

An exploratory, sequential design was used in this mixed-methods study. For the qualitative stage, semistructured interviews were performed with a purposive sample of HF providers eligible to refer (ie, nurse practitioners, cardiologists, internists, primary care and emergency medicine physicians) in Ontario. Interviews were conducted via Microsoft Teams. Transcripts were analyzed concurrently by 2 researchers independently using NVivo, using a deductive-thematic approach. Then, a cross-sectional survey of similar providers across Canada was undertaken via REDCap (Research Electronic Data Capture), using an adapted version of the Provider Attitudes toward Cardiac Rehabilitation and Referral scale. 

Results Saturation was achieved upon interviewing 7 providers. Four themes arose: knowledge about clinics and their characteristics, providers' clinical expertise, communication and relationship with their patients, and clinic referral process and care continuity. Seventy-three providers completed the survey. The major negative factors affecting referral were skepticism regarding clinic benefit (4.1 ± 0.9/5), a bad patient experience and believing they are better equipped to manage the patient (both 3.9). Cardiologists more strongly endorsed clarity of referral criteria, referral as normative and within-practice referral supports as supporting appropriate referral versus other professionals (Ps < .02), among other differences. One-third (n = 13) reported the pandemic impacted their referral practices (eg, limits to in-person care, patient concerns). 

Conclusion 

Although there are some legitimate barriers to appropriate clinic referral, greater provider education and support could facilitate optimal patient access.},

keywords = {heart disease, heart failure, Heart Transplant, mixed methods},

pubstate = {forthcoming},

tppubtype = {article}

}

Background
Heart failure (HF) care providers are gatekeepers for patients to appropriately access lifesaving HF clinics.
Objective
The aim of this study was to investigate referring providers’ perceptions regarding referral to HF clinics, including the impact of provider specialty and the coronavirus disease pandemic.
Methods
An exploratory, sequential design was used in this mixed-methods study. For the qualitative stage, semistructured interviews were performed with a purposive sample of HF providers eligible to refer (ie, nurse practitioners, cardiologists, internists, primary care and emergency medicine physicians) in Ontario. Interviews were conducted via Microsoft Teams. Transcripts were analyzed concurrently by 2 researchers independently using NVivo, using a deductive-thematic approach. Then, a cross-sectional survey of similar providers across Canada was undertaken via REDCap (Research Electronic Data Capture), using an adapted version of the Provider Attitudes toward Cardiac Rehabilitation and Referral scale.
Results Saturation was achieved upon interviewing 7 providers. Four themes arose: knowledge about clinics and their characteristics, providers’ clinical expertise, communication and relationship with their patients, and clinic referral process and care continuity. Seventy-three providers completed the survey. The major negative factors affecting referral were skepticism regarding clinic benefit (4.1 ± 0.9/5), a bad patient experience and believing they are better equipped to manage the patient (both 3.9). Cardiologists more strongly endorsed clarity of referral criteria, referral as normative and within-practice referral supports as supporting appropriate referral versus other professionals (Ps < .02), among other differences. One-third (n = 13) reported the pandemic impacted their referral practices (eg, limits to in-person care, patient concerns).
Conclusion
Although there are some legitimate barriers to appropriate clinic referral, greater provider education and support could facilitate optimal patient access.